by Patch

Patch is an online insurance assistant that helps healthcare providers and patients understand out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper. Using Patch, healthcare providers can let patients know the exact reimbursement amount to expect and automatically submit an optimized claim on their behalf.
Learn more about Patch
Healthcare professionals can now leverage insurance benefits while avoiding the constraints of being in-network
Learn more about Patch

by Waystar

Waystar, the combination of Zirmed and Navicure, provides next-generation, cloud-based technology that simplifies and unifies the healthcare revenue cycle. Our innovative platform allows clients to collect more with less cost and less stress, so they can focus on their goals, patients and communities. Waystar has scored Best in KLAS claims clearinghouse every year since 2010 and earned multiple #1 rankings in both medical claims processing and patient payment solutions from Black Book surveys
Learn more about Waystar
Waystar provides next-generation, cloud-based technology that simplifies and unifies the healthcare revenue cycle.
Learn more about Waystar

by JW Software

FileHandler Enterprise is an intuitive claims administration system designed to help streamline and automate workflows for the claims and risk management market. Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
Learn more about FileHandler
FileHandler Enterprise will transform your companys data into rich visuals built and defined by you.
Learn more about FileHandler

by DataCare

DataCare provides software solutions for the workers' compensation industry to better manage medical treatment and billing. Our Medical Process Manager and UR platforms help integrate a medical aspect to the claims workflow and expedite the communication process between the URO and requesting physician. While our Care++ mobile application was created for patients to communicate with their nurses, adjusters and claims staff can also send/receive messages to/from the application.
Learn more about Ahshay
Web-based SaaS medical case management, utilization review, and claims enhancement software.
Learn more about Ahshay

by APP Technologies

IMS is an industry-leading claims/risk management system, covering all commercial lines including P&C, workers' compensation, auto, and general liability. IMS accurately and easily manages the entire claims lifecycle, from first report of incident through issuing payments and collections. IMS's rich features allow for document management, reserves, payments, notes, diary, subrogation, EDI, and bill review.
Learn more about Incident Management System
Claims & risk management system for P&C, workers comp, auto and general liability. In- house enterprise systems and cloud services.
Learn more about Incident Management System

by Priority Data

PDSpectrum is a robust modern policy processing system for P&C Insurance Companies, MGAs, and Program Administrators. PDSpectrum includes: administration, accounting, billing, claims, rating, underwriting, document management, and agent inquiry & quoting. It provides full data connections and integrations to major risk assessment partners. PDSpectrum is hosted, supported and maintained by Priority Data and accessed by company staff, agents and their partners via a secure web-browser connection.
Learn more about PDSpectrum
PDSpectrum is a cloud-based policy administration system that easily manages your business such sales, accounting, billing, and more.
Learn more about PDSpectrum

by Us4U

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs.
Learn more about Us4U
Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs.
Learn more about Us4U

by Origami Risk

The Origami Risk RMIS and claims management platform was designed by industry veterans committed to helping clients streamline the collection, analysis and reporting of risk information. Our innovative, web based software is designed with the latest technology and is focused on ease-of use, performance and dependability. Each client is managed by a service team member with years of experience who supports the client from implementation to ongoing maintenance.
Learn more about Origami Risk
RMIS and claims management platform helps clients streamline the collection,analysis and reporting of risk and claims data.
Learn more about Origami Risk

by Online Reporting

The # 1 ranked Claim management system for independent adjusters, TPA's, MGA's, & Mutual Ins. Co.'s. System does not apply to Public Adjusters. Entire system is based on the input from our 1000's of Users. Integrates with Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps. FileTrac also offers an Adjuster Database module that allows you to track licenses, certificates and so many other criterias. Best suited for companies with 85+ claims per month.
Learn more about FileTrac
The # 1 ranked Claim management system for independent adjusters. Integrates with QuickBooks, Outlook and all estimating software.
Learn more about FileTrac

by Medical Practice Software

DuxWare was "cloud based" before the term was even invented. Our users have grown with us for over 26 years and in the process taught us how to support and make DuxWare perfect for their practices. Perfect because DuxWare allows them to move efficiently through their daily routine in clinics large and small. Perfect because, at the end of the day, the PROVIDERS GET PAID. Why? DuxWare gets it right and our support team has been in their shoes. Call us to become part of the DuxWare family today!
Learn more about DuxWare
Web Based Practice Management Software incorporating an effective Clinical Claim Scrubber.
Learn more about DuxWare

by Billing Dynamix

Billing Dynamix has invested the past decade improving and automating the "Straight Through Process" to reduce billing delays, remove the potential causes of denials, and monitor for underpayments. This leads to reduced collection times, greater compliance and higher reimbursements. It provides you complete transparency and control over your billing processes. Reduce the risk of errors and delays by integrating with your EHR. In-house or Full Service programs available.
Learn more about bestPT
The most powerful and customizable billing and RCM system available. Integrates with your EHR. Inhouse of Full Service options.
Learn more about bestPT

by Beacon Technologies

SpyGlass Health Claims Management System helps claims payers improve accuracy and automation via an easy to use and powerful application. It is entirely web-based and offers reliable, adaptable, flexible, scalable, and open IT architecture, which substantially increases reliability and accuracy through automation, empowering you to maximize the return on your technology investment and includes HIPAA required ICD-10 and 5010 support throughout.
Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.

by Burkitt Computer

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.

by WLT Software

WLT Software is a leader in advanced benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs & Self Administered Groups. Whether administering multiple plans covering millions of lives or one plan covering a small group, our scalable solutions can be tailored to fit your needs. Our systems have two deployment options available; either on site installation or as a hosted solution, making them the most flexible systems available for your organization.
Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.

by Unicomp Corp. of America

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.

by Brightwork

The Alyce Claims Management System is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently. Features include multi-tiered infrastructure, duplicate claim alerts, check printing, forms, letters and reports.
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.

by Claimable

We pride ourselves on making simple, affordable claims management software. We've had enough of the insurance industry lagging behind in the technology front, with often expensive, complicated and bloated software. At Claimable, we believe that details matter, and our software has been carefully crafted to provide the tools necessary for timely and efficient claims management.
Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims!

by Recordables

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.

by Orchestra One

With Orchestra One, you get one unified platform to bill patients with ease. Go from appointment to submitted claim in under two minutes and get paid in days, not months. Orchestra One's technology cuts out the middle man: we generate, scrub and submit to insurance payers, so you don't have to. You can choose to reimburse either your practice or your patients, giving you more flexibility than ever before.
Orchestra One is a practice management platform made for chiropractors.

by Intuitive Web Solutions

BriteCore was built from the ground up using the latest modern technology. Deployed using the Amazon Web Services cloud, our enterprise-level software is continually updated to guarantee maximum security, efficiency, and durability at scale. Over 40 insurance carriers, MGAs, and start-ups rely on BriteCore to increase speed to market, improve competitive position, and support growth.
All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies.

by Mitchell International

Mitchell WorkCenter is a truly universal platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently through a powerful interconnected workspace that incorporates performance modules to create a simplified workflow for claims settlement staff and trading partners.
Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently.

by SpeedySoft USA

Speedy Claims is possibly the easiest to use software available anywhere for billing your patients and insurance companies whether by paper or electronically. An easy to use point and click interface showing the actual CMS 1500 form on the screen makes filling out a claim simple and coupled with our error checking scrubber makes it accurate and powerful. Speedy Ledger makes it easy to track insurance payments and create patient statements. Try us free for 30 days!
Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing.

by Code Evolution

Virtual Claims Adjuster is a web-based claims management system designed using the latest software development techniques and interface methodologies to ensure a smooth implementation into your business. As you conduct your day to day business, we work in the background, finding ways to make you more efficient and effective. Our business specialists analyze trends, maintain key industry relationships, and employ advanced techniques to evolve your toolset in a way that exceeds your business needs
As the industry leaders in claim management software for over a decade, we provide secure on-line claims software to clients worldwide.

by E-Claim.com

ClickClaims is ideally suited for small to mid-size property and casualty insurance carriers, independent claims adjusting firms, and third party administrators who need the advanced technologies that drive a competitive market. ClickClaims SaaS model allows for rapid deployment, unlimited scalability, performance, security and versatility that legacy systems cannot match, at a fraction of the cost. Built to evolve as technologies emerge, your investment appreciates over time.
Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement.

by Hi-Tech Health

Series 3000 is a complete turnkey claims administration solution designed using unlimited system variables which can be programmed to meet your companies specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you the way you want it to.
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.

by Docuphase

DocuPhase provides software and services for Enterprise Automation. Our platform includes everything an organization needs to execute on their Digital Transformation, Process Improvement, and Growth strategies. We are the automation experts.
Partner with the DocuPhase team to transform the way you work. Lets get started.
For more information, visit docuphase.com.
DocuPhase is a complete browser-based platform that delivers unmatched efficiency and performance to companies around the world.

by EmergeAdapt

CaseBlocks for Claims Management provides a platform for managing your end-to-end claims process. CaseBlocks enables you to rapidly adapt your claims process in order to keep up with new regulations, changes in working practices of 3rd parties and as process efficiencies are identified.
CaseBlocks for Claims Management provides a platform for managing the end-to-end claims process.

by Quick Internet

ClaimPilot is a streamline web-based claims management system that allows you to manage all of your claim files as well as your organization. ClaimPilot offers solutions for Independent Adjusting Agencies, Third Party Administrators, Self-insured Companies, Public Entities, and more! Managing a claim through ClaimPilot is easy & intuitive. ClaimPilot offers custom built step-by-step workflow that is geared for speed and simplicity. Our automated process allows you to manage your claims better.
Web-based claims management system with features such as functional security and reporting.

by Simultaneous Solutions

Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and construction industry. It was one of the original pioneers of computer estimating for property adjusters and was the first software vendor to automate all of the most frequently used functions of the professional property adjuster into a single software application.
Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co

by DSS

FBCS is a powerful software solution that simplifies the administration and tracking of claims. Recent upgrades to the application centralizes data and further automates the adjudication process.
FBCS is a powerful software solution that simplifies the administration and tracking of claims.

by Aquarium Software

AquariumClaims is an on-demand web-based, claims management solution. Unlike traditional offerings, it offers lower cost of ownership coupled with high configurability and flexibility: numerous customers have been able to grow their business to new levels of profitability through increased claims processing efficiency, improved customer service levels & higher claim volumes. More business without more people - new levels of performance without higher costs. For further details visit our website.
Processes claims and takes cases through from information capture to invoicing.

by Meditab Software

Streamline your workflow and boost efficiency with our fully-integrated EHR, Practice Management, and Billing solution. Designed by physicians for physicians, our award-winning Intelligent Medical Software caters to over 25 different specialties and practices of any size! Utilize technology that adapts to your practice, not the other way around. Almost every aspect of our software is 100% customizable and tailor-fit to your precise specifications. Schedule a Free Live Demo on our website!
The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Custom built for over 25 specialties!

by Isoft

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.

by PCMI

PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solutions (PCRS), supports and automates the full lifecycle of all aftermarket products.
PCMI offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties.

by SmartSimple Software

SmartSimple CMS360 is a platform for designing and deploying solutions that help insurers, health care providers and independent medical examiners gather the right content, make more accurate decisions, and take action to advance business outcomes. Some of the world's largest accident benefit claims and referral management firms look to CMS360 to automate their structured, repeatable processes and centralize case content - giving a complete picture of file history.
Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners.

by Ebix

FACTS Services is an integrated technology and services provider focused on providing cost effective healthcare payor solutions across the entire claim continuum. The result is a dramatic reduction in cost and improved turnaround time for all facets of the healthcare delivery cycle. FACTS delivers technology within the ASP and turnkey settings and a full administrative services solution that lowers the overall cost of doing business while increasing the value and quality of customer service.
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.

by Garvin-Allen Solutions

Quoting, rating, policy administration, billing, claims management and reinsurance software solutions for property and casualty companies of all sizes. This modular system can interface across platforms or operate as a complete end-to-end solution. Advanced Insurance System is a perfect solution for personal, commercial and specialty lines and is available with rates, rules and forms pre-loaded. Integrating AIS into your business is an easy, efficient, and a hassle-free process.
Modular policy, quoting, billing and claim administration application.

by KLJ Computer Solutions

Venue is a secure web-based claims processing software that can handle multiple lines of insurance claims (except health and dental). Track time and expenses accurately, invoice your clients from within Venue, eliminate duplication using Venue's comprehensive document management, store audio, video and other file formats. Form templates allow you to complete forms with a click of a button. Venue also allows your clients to view the status of their claims and uses 128-bit encryption.
Web based claims management system that handles lines including property, casualty, auto, marine, liability.

by PayorLink

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.

by J&J Technology Consulting

Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.

by Enkata

Enkata's solution for Healthcare Payers provides visibility into how manual claims processors work & drives improvement through automatic identification & delivery of coaching opportunities. Enkata's unique approach uses powerful data visualizations to help understand exactly how work is being performed from high level overviews to individual process steps. Enkata uses this insight to find patterns of behavior that limit productivity/lower quality in manual claims processing organizations.
Delivers the information, insight and action insurance companies need to get the most out of their claims payment processors.

by MR HealthTech

MedNeXt+ with its 2 subsystems - the Operational System and the Business Intelligence System - and its 6 interfaces is a complete, enterprise-wide health insurance solution that enables risk carriers to achieve fast time-to-market for new products, grow profitably, manage costs and improve service quality. MedNeXt+ is ideal for health insurers, TPAs, and Managed Care organisations as well as large self-insured companies who choose to administer their own group health programmes.
MedNeXt+ with its Operational and BI systems and its 6 interfaces is a complete, enterprise-wide health insurance solution

by StoneRiver

Deep-function workers' comp claims management software from a software provider with years of experience. Extensive data capture for quick reporting and intelligence. Diary and alerts that mobilize and focus the workforce on claims that need their expertise. Routine claims can be effectively and efficiently managed with rule-based, auto-adjudication facilities. Case management capabilities. Accurate, efficient payment and bill processing. Advanced business intelligence and executive dashboards.
P&C claims management software for personal & commercial lines of business

by intellectSEEC

Intellect Claims is an industry proven solution that spans life, disability health, critical illness, long term care and annuity. Intellect Claims takes all of the elements that make claims processing so complex managing a large amount of information, multiple work streams and intricate calculations and brings them together in a single intuitive environment. Role based user interfaces provide users with the tools, information and functions to easily handle a claim in one place.
Intellect Claims provides comprehensive proactive claim management for life, annuity, disability, critical illness and long term care.

by BrightOffice Cloud CRM

BrightOffice Case Management Software can be used for a variety of cases, including; PPI, Pension Transfers, Mis-sold Mortgages. The software can be customized to suit your business needs, designed to handle claims in high volume. Offering a full end to end solution, Cases CRM will manage your business from client prospecting right through to Invoicing and Payments removing requirements for multiple software packages and streamlining internal processes.
Case Management Software, a cloud based software which allows the users to manage their cases from start to finish

by Payapps

Payapps is a simple yet powerful mobile collaboration tool suitable for all contractors that saves needless time and money wasted on payment submission and approval.
Built specificially for the construction industry it is designed to eliminate errors associated with manual processing. Its cloud based, can be accessed anywhere on any device, and is super simple to use.
Progressclaim.com reduces risk, saves time & money, improves cash flow and is Security Of Payments Act compliant.
A mobile collaboration tool suitable for all contractors designed to streamline the claims processing procedure.

by ClaimVantage

Our claim management software solution is designed to process both group and individual life and health claims on one digital platform. Supporting a broad range of policy benefits, the software leverages a claimant-centric approach to deliver a superior customer experience with efficiency and accuracy.
Hosted on the secure Salesforce Lightning Platform, our software has a modern, user-friendly interface, with deep functionality built by industry experts.
Our claim management software solution provides full life cycle claims management, for Life and Health claims.

by United Systems and Software

United Systems and Software, Inc. ("USSI") offers a full line of integrated professional insurance administration systems tailored to meet your specific industries requirements and niche demands. Our software offerings cover a wide variety of industries and lines of business.
Since 1979, USSI has been a pioneer in leading edge Insurance Administration Software Systems and Professional Services.
Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.

by The SSI Group

Improving efficiencies within the healthcare billing process through automation and seamless integration.
Improving efficiencies within the healthcare billing process through automation and seamless integration.

by ERIC Systems

Risk Manager is an integrated suite of program modules designed for the administration of worker compensation and multi-line liability claims ONLY (not employee benefits). It is suitable for use by any size organization that is self-insured and self-administered, third-party administrators (TPA), governmental agencies, insurance carriers, association of self-insureds, and/or retrospective rating groups.
An integrated suite of programs for the administration of worker compensation and property & casualty claims.

by Symbility Solutions

Quickly and accurately capturing claim information onsite eliminates the need for followup visits and provides a great chance to engage policyholders in the settlement process.
Adjusters can document, estimate, and close a claim in a few easy steps leading to a faster, efficient and more accurate claim settlement. Mobile Claims ensures that onsite estimates become onsite settlements. Available for Android & iOS and works with the greater Symbility Property Claims Ecosystem.
Symbility Mobile Claims is a multi-platform enabled field estimating solution used to document, estimate, and close a claim quickly.

by Startech Software

Stop wasting money! Our Clients are saving over 50% of their claims processing costs! Let Startech Software show you a better way. Our Eclipse software will save you time and money. Claims like Workers Comp,Tort, GL, P&C, Auto, Long and Short Term Disability can be done with ease. Full featured. Check printing. Fee schedules. Extensive reporting. Top rated customer support. Call or visit website for free demonstration.
Total environment designed to manage the needs of workers' compensation claims.

by TCP LifeSystems

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.

by ppoONE

ppoONE is a leading information services company providing enterprise business solutions for the health care industry. As an ASP or SaaS company, ppoONE is a leader for automated claims repricing, provider and fee schedule management, credentialing, customer service, EDI and reporting for PPOs, TPAs and insurance carriers. Using the power of the Internet, we deliver a flexible, highly accurate and productive easy-to-use system that streamlines operations and reduces costs.
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.

by Activus

Act-isure is a flexible, modular medical and protection insurance system supporting product design/ management, policy sales/servicing (including channel and agency management), claims processing, provider management and financial management and reporting.
Act-isure can be deployed either as an integrated whole or as a components in a complex enterprise landscape computing landscape in domestic and international insurance markets around the globe in multiple currencies and languages.
Act-isure is a medical and protection insurance system supporting products, policy, enrolment & billing, claims & accounts management.

by DocuStream

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.
Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.

by Conexia

Improve Care Quality:
We partner with our clients to implement risk management strategies that result in better outcomes with lower costs.
Operational Excellence:
We work directly with clients, leveraging best practices and technology to achieve operational excellence through automation.
Improve User Experience:
We strive to improve the user experience for everyone involved in the ecosystem.
Optimize Resources:
We deliver a minimum 3:1 ROI
Real-time healthcare administration solution designed to make administrative tasks easier.

by Damco Solutions

Claims management and processing solution to help reduce business costs and the time spent during the insurance claims process.
Claims management and processing solution to help reduce business costs and the time spent during the insurance claims process.

by Optiform

The Optiform eobXL processing solution achieves unsurpassed data accuracy and processing speed. As a result, this powerful system has been proven to process EOBs more accurately and more efficiently than manual data entry simplifying the collection of data and reducing the cost.
The eobXL software locates data using key value pair structures that allow data to be located and extracted wherever it is positioned on a page, even through multiple pages of a document.
Minimize costs associated with processing paper EOB forms using the best components in pattern recognition technology.

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